Provider Demographics
NPI:1033762778
Name:HOOK, MICHELE SHARYN (PHARMD)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:SHARYN
Last Name:HOOK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3167 S STATE ROAD 3
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-1318
Mailing Address - Country:US
Mailing Address - Phone:765-529-5997
Mailing Address - Fax:765-529-6012
Practice Address - Street 1:3167 S STATE ROAD 3
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-1318
Practice Address - Country:US
Practice Address - Phone:765-529-5997
Practice Address - Fax:765-529-6012
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26026689A183500000X
OH03135698183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist